THOMAS EDWIN WILLIAMS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038458

License Status

CANCELLED

Business

First Name

THOMAS

Middle

EDWIN

Last Name

WILLIAMS

Suffix

Business Name

THOMAS EDWIN WILLIAMS MD

Original Issue Date

06/16/1998

Effective Date

06/16/1998

Expiration Date

06/30/2000

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006